摘要
目的探讨眶上外侧入路与经典翼点入路手术治疗急性期颅内前循环破裂动脉瘤的临床效果。方法 2012年11月至2014年5月收治74例急性期前循环破裂动脉瘤,采用眶上外侧入路手术37例(眶上外侧组),采用经典翼点入路37例(翼点组)。结果眶上外侧组手术时间[(138.9±15.9)min]、切口长度[(9.4±1.6)cm]、术中出血量[(52.6±5.9)ml]较翼点组均明显减少[分别为(174.8±22.6)min、(15.7±2.6)cm、(236.8±25.8)ml;P<0.05]。眶上外侧组术中动脉瘤破裂率(16.2%,6/37)和翼点组(18.9%,7/37)无明显差异(P>0.05)。结论相比经典翼点入路,眶上外侧入路手术治疗急性期前循环破裂动脉瘤手术创伤较小。
Objective To compare the clinical effect of microsurgery via supraorbital lateral approach （SOLA） on ruptured intracranial anterior circulation aneurysms （RIACA） with that of microsurgery via pterional approach （PA）. Methods Seventy four patients with RIACA at acute stage treated from November, 2012 to May, 2014 were randomly divided into two groups, i.e. observed group, in which 37 underwent microsurgery via SOLA and control group, in which 37 via PA. The clinical effects on RIACA were compared between both the groups. Results The operating duration, length of operative cut and volume of intraoperative bleeding were significantly les~ in the observed group than those in the control group （P〈0.05）. The percentages of the patients undergoing removal of bone flaps and receiving intraopertive transfusion of blood were significantly lower in the observed group than those in the control group （P〈0.05）. Conclusion The clinical effect of mierosurgery via SOLA at acute stage, which can decrease the operation side injury, on RIACA is good.
作者
邓民强
潘轲
田仁富
王国堰
向春晖
DENG Min-qiang PAN Ke TIAN Ren-fu WANG Guo-yan XIANG Chun-hui.(Department of Neurosurgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Chin)
出处
《中国临床神经外科杂志》
2016年第10期606-607,共2页
Chinese Journal of Clinical Neurosurgery
关键词
颅内破裂动脉瘤
前循环
急性期
显微手术
眶上外侧入路
经典翼点入路
疗效
Ruptured intracranial anterior circulation aneurysms
Microsurgery
Supraorbital lateral approach
Pterional approach
Acute stage
Clinical effect
